Clinica Nueva LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN220894 Issued in GA

Legal business name

CLINICA NUEVA LLC

Practice address

5944 Buford Hwy
Norcross, GA 30071-2444

Phone

(470) 375-5821

Fax

(470) 375-5824

NPI assigned

Apr 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Cuadrado, N.P.

Title

Sole Member

Phone

(470) 375-8521

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429401600000",
    "number": "1013304997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712444",
            "telephone_number": "470-375-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712444",
            "telephone_number": "470-375-5821",
            "fax_number": "470-375-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA NUEVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-19",
        "last_updated": "2015-04-19",
        "status": "A",
        "authorized_official_last_name": "CUADRADO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "470-375-8521",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.